Supreme Home LLC
NPI 1033617881ActiveOrganization· Custodial Care Facility· Anchorage, AK
Custodial Care Facility in Anchorage, Alaska, registered in NPPES in January 2018. The authorized official on file is Ajoke Olohima Walker Kolawole, BA, C.N.A, Administrator.
Overview
| NPI | 1033617881 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2018 |
| Last updated in NPPES | Jan 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | — | AK |
| Assisted Living Facility | 310400000X | — | — |
| Assisted Living Facility, Assisted Living, Behavioral Disturbances | 3104A0630X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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